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Adding Payer Rules

Creating Payer rules in Billing Setup

Updated over 2 weeks ago

Creating Payer Rules

There are several different types of rules you are able to create for each Payer.

To create a Payer rule, navigate to:

Management > Billing Setup > Payers

Click on the Rules Tab.

You can create Payer rules for:

  • CMN

  • Combine Line Items

  • Compliance

  • Deductible Hold

  • HCPCS Substitution

  • Playbooks

  • Prescription

  • Rendering Provider

  • Rental

  • Resupply

  • Service Location

  • Split Line Items

  • Tasks


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